Imaging prices at HCA Florida Bayonet Point Hospital
Hudson, FL · every code in this section with a posted price and a Medicare benchmark.
292 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $1,228.35 | $1,228.35 | 11.3× |
| Acute gi blood loss imaging (78278) | $3,563.24 | $3,563.24 | 8.5× |
| Angio Adrenal Bilat Select (75733) | $16,561.99 | $16,561.99 | 5.0× |
| Angiography extremity bilateral rs&i (75716) | $17,277.58 | $17,277.58 | 5.2× |
| Angiography extremity unilateral rs&i (75710) | $9,577.26 | $9,577.26 | 2.9× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $14,215.11 | $14,215.11 | 4.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $7,490.96 | $7,490.96 | 2.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $17,963.39 | $17,963.39 | 3.1× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $3,182.78 | $3,182.78 | 1.0× |
| Ankle 2 views (73600) | $962.19 | $962.19 | 10.6× |
| Aortogram thoracic (75605) | $19,490.42 | $19,490.42 | 3.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $8,863.52 | $8,863.52 | 2.7× |
| Aortography abdominal serialography rs&i (75625) | $17,597.68 | $17,597.68 | 5.3× |
| Aortography Thoracic W/O Serialography Rs&I (75600) | $18,687.36 | $18,687.36 | 5.7× |
| Artery X-Rays Adrenal Gland (75731) | $9,478.60 | $9,478.60 | 2.9× |
| Arthrogram hip (73525) | $6,433.83 | $6,433.83 | 17.7× |
| Arthrogram knee (73580) | $6,405.94 | $6,405.94 | 17.6× |
| Arthrogram shoulder (73040) | $5,473.51 | $5,473.51 | 15.0× |
| Arthrogram wrist (73115) | $5,802 | $5,802 | 15.9× |
| Basic dosimetry (77300) | $1,517.22 | $1,517.22 | 10.8× |
| Bone &/Joint Imaging Limited Area (78300) | $3,059.14 | $3,059.14 | 7.3× |
| Bone &/joint imaging whole body (78306) | $5,160.77 | $5,160.77 | 12.4× |
| Bone age studies (77072) | $1,944.86 | $1,944.86 | 17.8× |
| Bone Imaging 3 Phase (78315) | $6,822.54 | $6,822.54 | 16.3× |
| Bone Marrow Imaging Limited Area (78102) | $2,833.05 | $2,833.05 | 6.8× |
| Bone survey complete (77075) | $4,219.13 | $4,219.13 | 38.6× |
| Bowel imaging (78290) | $4,688.79 | $4,688.79 | 11.2× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) | $4,877.83 | $4,877.83 | 11.7× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $7,573.74 | $7,573.74 | 18.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $6,335.75 | $6,335.75 | 11.2× |
| Cervical spine 2 or 3 views (72040) | $3,022.44 | $3,022.44 | 33.3× |
| Chest 1 view (71045) | $1,057.40 | $1,057.40 | 11.6× |
| Chest xray 3 views (71047) | $1,228.35 | $1,228.35 | 13.5× |
| Cholecystography, oral contrast Non-Facility (74290) | $4,464.79 | $4,464.79 | 24.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $3,554.84 | $3,554.84 | 19.4× |
| Cisternography Positive Contrast Rs&I (70015) | $2,036.06 | $2,036.06 | 2.5× |
| Clavicle complete (73000) | $2,663.23 | $2,663.23 | 29.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $20,852.11 | $20,852.11 | 191.0× |
| CT abdomen and pelvis without and with contrast (74178) | $40,891.51 | $40,891.51 | 112.2× |
| CT abdomen and pelvis without contrast (74176) | $35,175.99 | $35,175.99 | 141.2× |
| CT abdomen w contrast (74160) | $21,381.64 | $21,381.64 | 116.7× |
| CT abdomen w wo contrast (74170) | $22,485.79 | $22,485.79 | 122.8× |
| CT abdomen w/o contrast (74150) | $19,324.58 | $19,324.58 | 177.0× |
| CT angio hrt w/3d image (75574) | $28,692.87 | $28,692.87 | 78.8× |
| CT angio lwr extr w/o&w/dye (73706) | $17,014.17 | $17,014.17 | 92.9× |
| CT angiography upper extremity lt (73206) | $17,014.17 | $17,014.17 | 92.9× |
| CT c-spine w/contrast (72126) | $19,056.11 | $19,056.11 | 52.3× |
| CT c-spine w/o contrast (72125) | $17,660.79 | $17,660.79 | 161.8× |
| CT cervical spine w&w/o contrast (72127) | $20,434.40 | $20,434.40 | 111.6× |
| CT chest w contrast (71260) | $22,400.72 | $22,400.72 | 122.3× |
| CT chest w/wo contrast (71270) | $23,673.12 | $23,673.12 | 129.2× |
| CT head/brain with contrast (70460) | $18,863.24 | $18,863.24 | 103.0× |
| CT head/brain without and with contrast (70470) | $21,451.60 | $21,451.60 | 117.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $28,692.87 | $28,692.87 | 78.8× |
| CT heart w/o contrast quant eval coronary calcium (75571) | $24,841.59 | $24,841.59 | 273.3× |
| CT hrt w/3d image congen (75573) | $28,692.87 | $28,692.87 | 78.8× |
| CT iac w contrast (70481) | $20,598.91 | $20,598.91 | 112.5× |
| CT limited/localized follow up study (76380) | $9,763.46 | $9,763.46 | 107.4× |
| CT lower ext w/o (73700) | $19,392.65 | $19,392.65 | 177.6× |
| CT lower extremity w/contrast material (73701) | $21,600.01 | $21,600.01 | 117.9× |
| CT lumbar spine w & w/o contrast (72133) | $36,900.29 | $36,900.29 | 201.5× |
| CT lumbar spine w/contrast (72132) | $23,098.37 | $23,098.37 | 63.4× |
| CT lumbar spine w/o contrast (72131) | $17,778 | $17,778 | 162.8× |
| CT maxillofacial w contrast (70487) | $20,415.51 | $20,415.51 | 111.5× |
| CT maxillofacial w/wo contrast (70488) | $21,795.70 | $21,795.70 | 119.0× |
| CT maxillofacial wo contrast (70486) | $19,029.63 | $19,029.63 | 174.3× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $23,673.12 | $23,673.12 | 129.2× |
| CT orbits w/o contrast (70480) | $20,530.83 | $20,530.83 | 188.1× |
| CT pelvis w/o contrast (72192) | $17,282.66 | $17,282.66 | 158.3× |
| CT pelvis w/wo contrast (72194) | $20,060.07 | $20,060.07 | 109.5× |
| CT soft tissue neck w contrast (70491) | $19,188.46 | $19,188.46 | 104.8× |
| CT soft tissue neck w/o & w/contrast material (70492) | $20,477.91 | $20,477.91 | 111.8× |
| CT soft tissue neck w/o contrast (70490) | $17,660.79 | $17,660.79 | 161.8× |
| CT thoracic spine w/contrast (72129) | $24,142.02 | $24,142.02 | 131.8× |
| CT thoracic spine w/o contrast (72128) | $18,207.19 | $18,207.19 | 166.8× |
| CT thoracic spine w/wo contrast (72130) | $25,752.87 | $25,752.87 | 140.6× |
| CT thorax w/o contrast (71250) | $20,852.26 | $20,852.26 | 191.0× |
| CT upper ext wo (73200) | $17,660.79 | $17,660.79 | 161.8× |
| CT upper extremity with contrast (73201) | $19,188.46 | $19,188.46 | 52.7× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $30,982.48 | $30,982.48 | 169.1× |
| Cta Abdomen (74175) | $30,982.48 | $30,982.48 | 169.1× |
| CTA abdomen pelvis (74174) | $57,372.52 | $57,372.52 | 157.5× |
| CTA chest (71275) | $30,982.48 | $30,982.48 | 169.1× |
| Cta Head (70496) | $30,982.48 | $30,982.48 | 169.1× |
| Cta Neck (70498) | $30,982.48 | $30,982.48 | 169.1× |
| Cta Pelvis (72191) | $30,982.48 | $30,982.48 | 169.1× |
| Cystography minimum 3 views rs&i (74430) | $5,168.30 | $5,168.30 | 14.2× |
| Diskography lumbar (72295) | $6,686.94 | $6,686.94 | 3.3× |
| Esophagus (74220) | $5,970.43 | $5,970.43 | 32.6× |
| Facial bones min 3 views (70150) | $4,373.61 | $4,373.61 | 40.1× |
| Fetal biophysical profile non-stress testing (76818) | $2,215.85 | $2,215.85 | 20.3× |
| Fluoroscopy up to 1 hr (76000) | $1,956.03 | $1,956.03 | 7.9× |
| Forearm 2 views (73090) | $2,547.85 | $2,547.85 | 28.0× |
| Functional MRI brain by tech (70554) | $8,190.75 | $8,190.75 | 32.9× |
| Hand 2 views (73120) | $2,547.85 | $2,547.85 | 23.3× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $10,538.99 | $10,538.99 | 18.6× |
| Hepatobiliary syst imaging including gallbladder (78226) | $10,538.99 | $10,538.99 | 25.2× |
| Hysterosalpingogram (74740) | $2,946.12 | $2,946.12 | 11.8× |
| Interstitial radiation source applic complex (77778) | $2,774.98 | $2,774.98 | 3.8× |
| Intracavitary Radiation Source Applic Intermed (77762) | $2,774.98 | $2,774.98 | 4.8× |
| Intracavitary Radiation Source Applic Simple (77761) | $2,774.98 | $2,774.98 | 4.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $5,058.22 | $5,058.22 | 8.9× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $5,058.22 | $5,058.22 | 8.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $5,058.22 | $5,058.22 | 8.9× |
| Liver & spleen imaging static only (78215) | $5,173.12 | $5,173.12 | 12.4× |
| Lung perf&ventilat diferentl (78598) | $4,575.13 | $4,575.13 | 8.1× |
| Lung perfusion differential (78597) | $7,729.41 | $7,729.41 | 18.5× |
| Lung ventilation imaging (78579) | $7,729.41 | $7,729.41 | 18.5× |
| Lymphoscintigraphy (78195) | $12,187.16 | $12,187.16 | 21.5× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $7,746.98 | $7,746.98 | 9.5× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $7,746.98 | $7,746.98 | 21.3× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $8,522.88 | $8,522.88 | 23.4× |
| MRA head w & w/o contrast (70546) | $11,212.34 | $11,212.34 | 30.8× |
| MRA head w/o contrast (70544) | $7,746.98 | $7,746.98 | 31.1× |
| MRA head with contrast (70545) | $8,522.88 | $8,522.88 | 23.4× |
| MRA neck w contrast (70548) | $8,522.88 | $8,522.88 | 23.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $11,212.34 | $11,212.34 | 30.8× |
| MRA neck w/o contrast (70547) | $7,746.98 | $7,746.98 | 31.1× |
| MRI abdomen w contrast (74182) | $6,860.46 | $6,860.46 | 18.8× |
| MRI abdomen w/o & w/contrast material (74183) | $8,522.88 | $8,522.88 | 23.4× |
| MRI abdomen w/o contrast (74181) | $6,860.46 | $6,860.46 | 27.5× |
| MRI any jt lower extrem w/contrast material (73722) | $7,746.98 | $7,746.98 | 9.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $7,746.98 | $7,746.98 | 21.3× |
| MRI c-spine with contrast (72142) | $8,982.81 | $8,982.81 | 24.7× |
| MRI cervical spine w/o contrast (72141) | $8,195.08 | $8,195.08 | 32.9× |
| MRI chest w/o & w/contrast material (71552) | $6,827.57 | $6,827.57 | 18.7× |
| MRI chest w/o contrast (71550) | $4,453.54 | $4,453.54 | 17.9× |
| MRI chest with contrast (71551) | $4,991.73 | $4,991.73 | 6.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $6,860.46 | $6,860.46 | 18.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $8,522.88 | $8,522.88 | 23.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $6,860.46 | $6,860.46 | 27.5× |
| MRI orbit face &/neck w/o contrast (70540) | $7,746.98 | $7,746.98 | 31.1× |
| MRI orbit face neck w contrast (70542) | $8,522.88 | $8,522.88 | 23.4× |
| MRI orbit/face/neck w&w/o cont (70543) | $8,522.88 | $8,522.88 | 23.4× |
| MRI pelvis w/contrast (72196) | $6,860.46 | $6,860.46 | 18.8× |
| MRI pelvis w/o & w/contrast material (72197) | $8,522.88 | $8,522.88 | 23.4× |
| MRI pelvis w/o contrast (72195) | $6,596.59 | $6,596.59 | 26.5× |
| MRI spectroscopy (76390) | $6,274.43 | $6,274.43 | 69.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $11,268.40 | $11,268.40 | 30.9× |
| MRI spinal canal lumbar w/contrast material (72149) | $8,982.81 | $8,982.81 | 24.7× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $11,268.40 | $11,268.40 | 30.9× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $8,982.81 | $8,982.81 | 24.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $11,268.40 | $11,268.40 | 30.9× |
| MRI temporomandibular joint (70336) | $8,522.88 | $8,522.88 | 34.2× |
| MRI thoracic spine w/o contrast (72146) | $8,195.08 | $8,195.08 | 32.9× |
| MRI up ext w/o contrast (73218) | $6,860.46 | $6,860.46 | 27.5× |
| MRI upper ext joint w/o contrast (73221) | $8,522.88 | $8,522.88 | 34.2× |
| MRI, joint upper extrem combo (73223) | $9,875.84 | $9,875.84 | 27.1× |
| Myelogram Cervical (72240) | $12,456.38 | $12,456.38 | 15.2× |
| Myelogram Lumbar (72265) | $12,456.38 | $12,456.38 | 15.2× |
| Myelogram thoracic (72255) | $12,456.38 | $12,456.38 | 15.2× |
| Myelography 2 or more regions (72270) | $12,456.38 | $12,456.38 | 15.2× |
| Myocardial infarct spect (78469) | $10,378.37 | $10,378.37 | 18.3× |
| Myocardial Spect Multiple Studies (78452) | $20,734.49 | $20,734.49 | 15.3× |
| Myocardial spect single study at rest or stress (78451) | $14,097.28 | $14,097.28 | 10.4× |
| Neck soft tissue (70360) | $2,992.65 | $2,992.65 | 32.9× |
| Nm bone marrow wb (78104) | $5,160.77 | $5,160.77 | 12.4× |
| Nm cisternogram (78630) | $3,882 | $3,882 | 6.8× |
| Nm gastric emptying study (78264) | $4,723.39 | $4,723.39 | 11.3× |
| Nm gastroesophageal reflux study (78262) | $2,970.19 | $2,970.19 | 7.1× |
| Nm peritoneal-venous shunt patency (78291) | $6,335.75 | $6,335.75 | 15.2× |
| Nonvascular shunt X-ray (75809) | $1,060.83 | $1,060.83 | 9.7× |
| Nuclear Rx Oral Admin (79005) | $4,842 | $4,842 | 19.9× |
| Osseous survey limited (77074) | $1,626.60 | $1,626.60 | 14.9× |
| Parathyroid Planar Imaging (78070) | $3,563.24 | $3,563.24 | 8.5× |
| Pelvis 1 or 2 views (72170) | $3,054.08 | $3,054.08 | 28.0× |
| PET whole body (78813) | $3,691.78 | $3,691.78 | 2.5× |
| Positron emission tomography (PET) imaging; skull base to mid-thigh Non-Facility (78812) | $6,338.37 | $6,338.37 | 4.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,816.52 | $3,816.52 | 9.1× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $14,850.95 | $14,850.95 | 26.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,688.05 | $1,688.05 | 3.0× |
| Radex Ankle Compl Minimum 3 Views (73610) | $2,650.21 | $2,650.21 | 29.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $2,663.23 | $2,663.23 | 29.3× |
| Radex Elbw Compl Minimum 3 Views (73080) | $2,663.23 | $2,663.23 | 29.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $619.74 | $619.74 | 6.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $1,107.36 | $1,107.36 | 10.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) | $2,503.19 | $2,503.19 | 22.9× |
| Radex fingr minimum 2 views (73140) | $2,356.16 | $2,356.16 | 25.9× |
| Radex Foot Compl Minimum 3 Views (73630) | $2,666.96 | $2,666.96 | 29.3× |
| Radex Hand Minimum 3 Views (73130) | $2,091.88 | $2,091.88 | 23.0× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $2,968.47 | $2,968.47 | 32.7× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $3,296.03 | $3,296.03 | 30.2× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $3,279.29 | $3,279.29 | 30.0× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $5,110.60 | $5,110.60 | 46.8× |
| Radex Humerus Minimum 2 Views (73060) | $2,663.23 | $2,663.23 | 29.3× |
| Radex Kne 1/2 Views (73560) | $1,433.05 | $1,433.05 | 15.8× |
| Radex Kne Compl 4/More Views (73564) | $2,864.22 | $2,864.22 | 26.2× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $4,438.74 | $4,438.74 | 40.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $3,225.29 | $3,225.29 | 35.5× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $1,096.18 | $1,096.18 | 10.0× |
| Radex Sho Compl Minimum 2 Views (73030) | $2,743.28 | $2,743.28 | 30.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $822.64 | $822.64 | 9.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $3,979.04 | $3,979.04 | 43.8× |
| Radex Toe Minimum 2 Views (73660) | $2,547.85 | $2,547.85 | 28.0× |
| Radex upper extremity infant minimum 2 views (73092) | $2,663.23 | $2,663.23 | 24.4× |
| Radex Wrst Compl Minimum 3 Views (73110) | $2,663.23 | $2,663.23 | 29.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $3,621.73 | $3,621.73 | 33.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $2,709.77 | $2,709.77 | 29.8× |
| Radiologic exam chest 2 views (71046) | $2,890.29 | $2,890.29 | 31.8× |
| Radiologic exam colon single contrast study (74270) | $5,767.56 | $5,767.56 | 31.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,043.83 | $2,043.83 | 11.2× |
| Radiologic exam upr gi trc single contrast study (74240) | $2,043.83 | $2,043.83 | 11.2× |
| Radiologic examination femur 1 view (73551) | $1,289.74 | $1,289.74 | 14.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $2,650.21 | $2,650.21 | 29.2× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $4,152.14 | $4,152.14 | 7.3× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) | $4,777.47 | $4,777.47 | 43.8× |
| Radiological examination surgical specimen (76098) | $2,766.53 | $2,766.53 | 4.8× |
| Ribs bilateral 3 views (71110) | $2,238.90 | $2,238.90 | 20.5× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $4,056.22 | $4,056.22 | 9.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $6,904.08 | $6,904.08 | 16.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $19,618.82 | $19,618.82 | 34.6× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $7,862.84 | $7,862.84 | 13.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $5,283.08 | $5,283.08 | 9.3× |
| Rp Therapy Intravenous Administration (79101) | $2,008.95 | $2,008.95 | 8.2× |
| Scapula (73010) | $3,163.89 | $3,163.89 | 29.0× |
| Sella turcica (70240) | $1,096.18 | $1,096.18 | 12.1× |
| Shoulder 1 view (73020) | $2,082.58 | $2,082.58 | 22.9× |
| Sialogram (70390) | $3,943.70 | $3,943.70 | 15.8× |
| Small bowel series (74250) | $4,783.04 | $4,783.04 | 26.1× |
| Speech evaluation complex (70371) | $2,285.44 | $2,285.44 | 9.2× |
| Spine thoracic 3 views (72072) | $3,742.67 | $3,742.67 | 34.3× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $5,510.42 | $5,510.42 | 51.7× |
| Testicular Imaging With Vascular Flow (78761) | $4,224.24 | $4,224.24 | 10.1× |
| Thoracolumbar 2 views (72080) | $2,778.62 | $2,778.62 | 30.6× |
| Thyroid carcinoma metastases img whole body (78018) | $7,862.84 | $7,862.84 | 13.9× |
| Thyroid imaging w/blood flow (78013) | $3,219.77 | $3,219.77 | 7.7× |
| Thyroid uptake measurement (78012) | $1,630.88 | $1,630.88 | 3.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,840.77 | $4,840.77 | 11.6× |
| Tomogram (76100) | $8,663.46 | $8,663.46 | 79.4× |
| Ultrasound breast complete (76641) | $3,098.49 | $3,098.49 | 28.4× |
| Ultrasound Exam Aaa Screen (76706) | $3,775.20 | $3,775.20 | 34.6× |
| Ultrasound, abdomen limited (76705) | $3,159.28 | $3,159.28 | 28.9× |
| Unlisted magnetic resonance procedure (76498) | $6,162.30 | $6,162.30 | 67.8× |
| Unlisted ultrasound procedure (76999) | $1,026.66 | $1,026.66 | 11.3× |
| Urethrocystogram voiding (74455) | $4,645.32 | $4,645.32 | 18.6× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) | $6,167.70 | $6,167.70 | 33.7× |
| Us chest (76604) | $3,159.28 | $3,159.28 | 28.9× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) | $2,346.66 | $2,346.66 | 10.4× |
| Us compl joint r-t w/image documentation (76881) | $1,121.23 | $1,121.23 | 10.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,121.23 | $1,121.23 | 10.3× |
| Us ob limited (76815) | $1,416.45 | $1,416.45 | 13.0× |
| Us ob transvaginal (76817) | $1,701.87 | $1,701.87 | 15.6× |
| Us pelvic non ob complete (76856) | $3,597.96 | $3,597.96 | 33.0× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $803.36 | $803.36 | 7.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $3,926.96 | $3,926.96 | 36.0× |
| Us retroperitoneal complete (76770) | $2,676.99 | $2,676.99 | 24.5× |
| Us retroperitoneal limited (76775) | $2,747.68 | $2,747.68 | 25.2× |
| Us scrotum and contents (76870) | $2,682.28 | $2,682.28 | 24.6× |
| Us soft tissue head/neck (76536) | $2,724.56 | $2,724.56 | 25.0× |
| Us transrectal (76872) | $1,701.87 | $1,701.87 | 15.6× |
| Us,transplanted kidney, real time/ doppler (76776) | $2,855.37 | $2,855.37 | 26.2× |
| Venogram extremity bilateral (75822) | $13,262.24 | $13,262.24 | 8.1× |
| Venogram Extremity Unilateral (75820) | $6,612.50 | $6,612.50 | 4.0× |
| Venography caval inferior serialography rs&i (75825) | $11,028.92 | $11,028.92 | 3.3× |
| Venography caval superior serialography rs&i (75827) | $8,682.07 | $8,682.07 | 5.3× |
| Venography Renal Bilateral (75833) | $23,040.49 | $23,040.49 | 7.0× |
| Venography renal unilateral selective rs&i (75831) | $7,490.96 | $7,490.96 | 2.3× |
| Venography venous sinus/jugular cath rs&i (75860) | $11,075.46 | $11,075.46 | 3.4× |
| Venous sampling by catheter (75893) | $6,938.21 | $6,938.21 | 1.2× |
| Wrist 2 views (73100) | $3,452.52 | $3,452.52 | 38.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $5,019.41 | $5,019.41 | 46.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,743.28 | $2,743.28 | 30.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $7,325.32 | $7,325.32 | 40.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $2,499.46 | $2,499.46 | 27.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $3,296.03 | $3,296.03 | 36.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $4,364.31 | $4,364.31 | 40.0× |
| X-ray exam of femur 2/> (73552) | $2,579.49 | $2,579.49 | 28.4× |
| X-ray eye for foreign body (70030) | $686.76 | $686.76 | 7.6× |
| X-ray IV pyelogram (ivp) (74400) | $7,189.45 | $7,189.45 | 39.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $962.19 | $962.19 | 10.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $962.19 | $962.19 | 10.6× |
| X-ray leg, infant (73592) | $2,864.22 | $2,864.22 | 31.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,627.29 | $3,627.29 | 33.2× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $4,077.68 | $4,077.68 | 37.4× |
| X-ray nose-rectum child f.b. (76010) | $1,228.35 | $1,228.35 | 13.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $4,470.38 | $4,470.38 | 40.9× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $3,936.24 | $3,936.24 | 36.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $5,147.81 | $5,147.81 | 47.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $3,054.08 | $3,054.08 | 28.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $3,595.67 | $3,595.67 | 39.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $4,675.11 | $4,675.11 | 51.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $5,147.81 | $5,147.81 | 47.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,096.18 | $1,096.18 | 10.0× |
| X-Ray Small Bowel Enteroclysis (74251) | $6,882.37 | $6,882.37 | 37.6× |
| X-Ray Spine One View - Xr Spine (72020) | $686.76 | $686.76 | 7.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,654.53 | $1,654.53 | 18.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $3,054.08 | $3,054.08 | 33.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $3,325.81 | $3,325.81 | 30.5× |
| Xr c-spine 4 or 5 views (72050) | $4,645.32 | $4,645.32 | 42.6× |
| Xr c-spine 6 or more views (72052) | $5,674.50 | $5,674.50 | 52.0× |
| Xr chest 4+ views (71048) | $1,228.35 | $1,228.35 | 11.3× |
| Xr urogram antegrade (74425) | $3,714.78 | $3,714.78 | 10.2× |